Implementing a Stratified Vocational Advice Intervention for People on Sick Leave with Musculoskeletal Disorders: A Multimethod Process Evaluation

Journal of Occupational Rehabilitation - Purpose To perform a process evaluation of a stratified vocational advice intervention (SVAI), delivered by physiotherapists in primary care, for people on...     

The Cellsoft computerized Semen Analysis System. II. on the Optimalization of running Conditions concerning Gray Scale and cell size Range/Das "CellSoft computerized semen analysis system". II. Zur Optimierung der Grauwert-Zuordnung sowie des Einstellungsbereichs für Zellgrößen

The CellSoft automated semen analysis system was studied concerning the effect of gray scale (GSc) variation on cell motion parameters and to establish an appropriate setting for human spermatozoal sizes (PixMin and PixMax) based on the cell's instant velocities (InsVels). GSc could be set within a range from "optimum" till +10 units without, except for curvilinear velocity, the CellSoft generated sperm measures being altered (p greater than 0.05). The aspect of a sample specific GSc setting according to certain criteria is stressed. Considering the area of immobilized spermatozoa (at GSc + 20) and of motile cells with low InsVel, PixMin should be set at 3 pixels. Correspondingly, the InsVel determined setting for PixMax (at a maximum velocity threshold set at 200 microns/sec.) was 28 pixels. A final recommendation on the setting for cell sizes can, however, only be determined in considering sizes of nonsperm seminal elements and in studying the appropriate setting for the maximum velocity threshold.     

Molecular Human Reproduction: Evidence for {gamma}-aminobutyric acid specific binding sites on human spermatozoa

The possible presence of -aminobutyric acid (GABA) specificbinding sites on human spermatozoa was investigated. Swim-uppreparations of human spermatozoa were incubated with radiolabelledGABA in the presence of unlabelled GABA, alternatively displacersof GABA_A/B receptors and GABA transport proteins. The resultsindicate that GABA specific binding sites are present on thesurface of human spermatozoa, and that these binding sites possiblyindicate the presence of GABA transport proteins. Furthermore,GABA at different concentrations was added to swim-up preparationsof human spermatozoa. Possible effects of GABA on sperm motility,hyperactivation and acrosome reaction were explored. No significantdifferences were observed between treated groups and controlsconcerning motility parameters and hyperactivation. Incubationwith GABA did not cause any increase in spontaneous acrosomereaction. However, spermatozoa treated with the calcium ionophoreA-23187 showed a small but significantly increased ability toundergo the acrosome reaction following preincubation in 10–⁴M GABA (P < 0.05).     

The effect of cetirizine on symptoms and signs of nasal polyposis

Forty-five patients with residual or recurrent nasal polyposis after ethmoidectomy were treated with either cetirizine at twice the daily recommended (20 mg) dose or placebo for three months. The number and size of polyps remained unchanged during the study period. Cetirizine was found to reduce nasal sneezing and rhinorrhoea effectively. The drug also had a beneficial effect on nasal obstruction in the latter part of the study. The side effects of 20 mg (double the recommended daily adult dose) of cetirizine were few and comparable to placebo.     

Studies on requirements for trackpoints in CellSoft automated semen analysis

The CellSoft (CRYO Resources, Ltd., New York, NY) system for computer-assisted sperm analysis was evaluated as to the appropriate settings for trackpoints. Fifty-eight human spermatozoa exhibiting complex swimming modes were chosen for analysis at room temperature. The accumulated measures for curvilinear velocity, linearity, mean and maximum amplitude of lateral head displacement, and beat cross frequency were determined over a range of trackpoints from 2 to 37. Stable measures (within the 95% confidence interval at 37 frames) were observed at 4 frames for curvilinear velocity and at 20 frames for linearity. The corresponding figure for mean amplitude of lateral head displacement and beat cross frequency was 8 frames. We conclude that the frame requirements concerning measures for curvilinear velocity/linearity and mean amplitude of lateral head displacement/beat cross frequency should be 20 and 8, respectively. Thus, 20 consecutive frames to analyze will suffice.     

Evidence for {gamma}-aminobutyric acid specific binding sites on human spermatozoa

The possible presence of -aminobutyric acid (GABA) specificbinding sites on human spermatozoa was investigated. Swim-uppreparations of human spermatozoa were incubated with radiolabelledGABA in the presence of unlabelled GABA, alternatively displacersof GABA_A/B receptors and GABA transport proteins. The resultsindicate that GABA specific binding sites are present on thesurface of human spermatozoa, and that these binding sites possiblyindicate the presence of GABA transport proteins. Furthermore,GABA at different concentrations was added to swim-up preparationsof human spermatozoa. Possible effects of GABA on sperm motiltty,hyperactivation and acrosome reaction were explored. No significantdifferences were observed between treated groups and controlsconcerning motiltty parameters and hyperactivation. Incubationwith GABA did not cause any increase in spontaneous acrosomereaction. However, spermatozoa treated with the calcium ionophoreA-23187 showed a small but significantly increased ability toundergo the acrosome reaction following preincubation in 10^–4M GABA (P < 0.05). -aminobutyric acid (GABA)/spermatozoa/sperm motility/transport proteins     

Experience with reconstructive surgery in 137 cases of head and neck cancer

A retrospective analysis of 137 patients treated with reconstruction of defects following head and neck cancer surgery is presented. From 1976 through 1984, 151 regional flaps were used: 43 pectoralis myocutaneous, 29 deltopectoral, 19 forehead, 17 nasolabial, 14 combinations of the aforementioned and 15 other types. The minimum follow-up was two years. Of 62 patients (51 stage III and IV) operated as part of the primary treatment, 20 (32%) died due to relapse, of which 14 (23%) occurred within the region reconstructed. The corresponding figures for 64 patients receiving salvage surgery for recurrences were 53% and 39% respectively. Eleven patients had repair of wounds following surgery or irradiation. Major flap necrosis necessitating reoperation occurred in 11%. The average duration of hospitalization was 35 days. We feel that these results justify these resource-demanding operations.     

Estrogen receptor beta is expressed in human embryonic brain cells and is regulated by 17beta-estradiol

In order to study estrogen effects on developing human neurons, we have established primary cultures of neurons and glia from 8-13-week human embryo cortex and spinal cord. The neuronal identity of the cultures was verified using the neuronal synaptic vesicle and neuronal endosomal membrane markers synaptotagmin, synapsin and synaptophysin, and the glial contribution to the mixed glial-neuronal cultures was verified using the glial marker glial fibrillary acidic protein (GFAP). We here report expression of estrogen receptor beta (ERbeta) in these cells using RT-PCR and sequencing, RNAse protection assay, immunohistochemistry and immunoblotting. We found that both neuronal and mixed glial-neuronal cultures expressed ERbeta. Treatment with 17beta-estradiol gave an increased expression of ERbeta in both types of cultures. These results suggest that ERbeta is expressed in fetal brain and thus may mediate effects of estrogen in the developing nervous system. Furthermore, the results suggest that expression of ERbeta in fetal brain may be regulated by estrogen.